Individual provider Active NPI

Maryann Katherine Rubis, O.D.

  • Optometrist
  • Springfield, MA
National Provider Identifier
1659380194
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3541 Issued in MA
Practice address
1515 Allen St
Suite E
Springfield, MA 01118-1803
Phone
(413) 782-0030
Fax
(413) 796-1985
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3541 MA Primary

Addresses

Primary practice location

1515 Allen St
Suite E
Springfield, MA 01118-1803

Mailing address

1515 Allen St
Suite E
Springfield, MA 01118-1803
Phone (413) 782-0030

Other identifiers 3

IdentifierTypeStateIssuer
0355852MedicaidMA
W15794OtherMABLUE CROSS BLUE SHIELD
3541OtherMAMASSACHUSETTS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000109 MA Practitioner - Optometry 4385534395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Eye ExcellenceGroup PAC ID 1557338027, 3 clinicians

Practice addresses (Care Compare)

1515 Allen St
Springfield, MA 01118-1803
Phone (413) 782-0030

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as group
Quality
90.03
Improvement activities
40
Cost
73.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3541MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eye Excellence CurrentSince Apr 1, 1990 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Mwa, PC Past Accepting new patients

Locations

1515 Allen St
Springfield, MA 01118
Phone (413) 782-0030

1515 Allen St
Ste E
Springfield, MA 01118
Phone (413) 782-0030

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659380194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 ALLEN ST",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181803",
            "telephone_number": "413-782-0030",
            "fax_number": "413-796-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ALLEN ST",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181803",
            "telephone_number": "413-782-0030",
            "fax_number": "413-796-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIS",
        "first_name": "MARYANN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355852",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15794",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS LICENSE",
            "identifier": "3541",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.